In view of previously reported increased capacity for nitric oxide production, we suggested that L-arginine (ARG), the nitric oxide synthase (NOS) substrate, supplementation would improve cardiac function in isoproterenol (ISO)-induced heart failure. Male Wistar rats were treated with ISO for 8 days (5 mg/kg/day, i.p.) or vehicle. ARG was given to control (ARG) and ISO-treated (ISO+ARG) rats in water (0.4 g/kg/day). ISO administration was associated with 40% mortality, ventricular hypertrophy, decreased heart rate, left ventricular dysfunction, fibrosis and ECG signs of ischaemia. RT-PCR showed increased mRNA levels of cardiac hypertrophy marker atrial natriuretic peptide, but not BNP, decreased expression of myosin heavy chain isoform MYH6 and unaltered expression of pathological MYH7. ISO increased the protein levels of endothelial nitric oxide synthase, but at the same time it markedly up-regulated mRNA and protein levels of gp91phox, a catalytical subunit of superoxide-producing NADPH oxidase. Fibrosis was markedly increased by ISO. ARG treatment moderately ameliorated left ventricular dysfunction, but was without effect on cardiac hypertrophy and fibrosis. Combination of ISO and ARG led to a decrease in cav-1 expression, a further increase in MYH7 expression and a down-regulation of MYH6 that inversely correlated with gp91phox mRNA levels. Although ARG, at least partially, improved ISO-impaired basal left ventricular systolic function, it failed to reduce cardiac hypertrophy, fibrosis, oxidative stress and mortality. The protection of contractile performance might be related to increased capacity for nitric oxide production and the up-regulation of MYH7 which may compensate for the marked down-regulation of the major MYH6 isoform.L-arginine is the precursor of nitric oxide, a key regulatory molecule in the cardiovascular system. Decreased nitric oxide synthesis or bioavailability may result in endothelial dysfunction that is present in many cardiovascular diseases such as hypertension, atherosclerosis, erectile dysfunction, myocardial infarction (MI) and congestive heart failure [1]. Nitric oxide is synthesized by three isoforms of nitric oxide synthases, endothelial (eNOS), neuronal (nNOS) and inducible (iNOS), that can all be expressed in the heart [2]. Nitric oxide in the heart can regulate a number of functions such as heart rate, coronary flow, myocardial oxygen consumption, and contractility under both physiological and pathological conditions [2,3]. Nitric oxide has antihypertrophic properties for cardiac myocytes [4], can inhibit the development of cardiac fibrosis [5] and can induce angiogenesis [6], while nitric oxide deficiency can contribute to pathological cardiac remodelling [7]. However, under the conditions of oxidative stress, increased nitric oxide production may lead to cellular injury via toxic peroxynitrite formation [8].L-arginine supplementation in human heart failure leads to an improvement of endothelium-dependent vasodilation and improved exercise capacity and quality of ...